Active NPI
Williamstown Medical Associates
- Podiatrist
- Williamstown, MA
National Provider Identifier
1649468299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2045
- Legal business name
- WILLIAMSTOWN MEDICAL ASSOCIATES
- Practice address
- 197 Adams Rd
Williamstown, MA 01267-2930 - Phone
- (413) 458-8182
- Fax
- (413) 458-3140
- NPI assigned
- Oct 9, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert C Jandl, M.D.
- Title
- President
- Phone
- (413) 458-8182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2045 | MA | Primary |
Addresses
Primary practice location
197 Adams Rd
Williamstown, MA 01267-2930
Mailing address
197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 458-8182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0358452 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1649468299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 ADAMS RD",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672930",
"telephone_number": "413-458-8182",
"fax_number": "413-458-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 ADAMS RD",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672930",
"telephone_number": "413-458-8182",
"fax_number": "413-458-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSTOWN MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "JANDL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-458-8182",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MA",
"license": "2045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0358452",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamstown, MA
- Karen Lee Welch Buttars, LMHC
- Brad A Whateley, M.D.
- Andrea S. White, M.ED., M.A., CCC-SLP
- Mary R Wilkes, MSW
- Williamstown Family Chiropractic LLC
- Williamstown Medical Associates PC
- Williamstown Physical Therapy
- Williamstown Recovery Operator, LLC
- Willowood of Williamstown, Inc. (Williamstown Commons Nursing & Rehabilitation Center)
- Alfred J. Wise, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.